Choice A rationale:

The nurse should recommend avoiding invasive procedures and injections for a patient with hemophilia.

Hemophilia is a bleeding disorder characterized by a deficiency in clotting factors, and any invasive procedures or injections can lead to bleeding episodes.

This recommendation is essential to prevent unnecessary bleeding and complications.

Choice B rationale:

The use of nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief is not a suitable recommendation for a patient with hemophilia.

NSAIDs can increase the risk of bleeding due to their antiplatelet effects.

It is crucial to avoid medications that can worsen bleeding in individuals with hemophilia.

Choice C rationale:

Engaging in gentle exercise to maintain joint function is a valuable recommendation for patients with hemophilia.

Hemophilia often leads to joint problems due to repeated bleeding episodes, and gentle exercise can help maintain joint mobility and prevent contractures.

It is essential to recommend exercise within the patient's tolerance to promote joint health.

Choice D rationale:

Monitoring for signs of anemia and thrombosis is important for patients with hemophilia.

Anemia can occur if there is excessive bleeding, leading to a decrease in red blood cell count.

Additionally, patients with hemophilia are at risk of developing thrombosis due to treatment with clotting factor concentrates.

Therefore, regular monitoring for these complications is necessary to ensure timely intervention if needed.

Choice E rationale:

Applying heat to bleeding joints to alleviate pain is not a recommended practice for patients with hemophilia.

Heat can increase blood flow to the affected area, potentially exacerbating bleeding.

Cold therapy, such as ice packs, is often recommended to reduce inflammation and pain while minimizing the risk of bleeding.